CNA Skills Bold steps Massachusetts

Apply an Anti-Embolic (Compression) stocking to one leg

Leave the resident with a stocking that is smooth/wrinkle free (and not too tight)

Assist Resident to Ambulate Using a Gait Belt

Lock bed brakes to ensure resident safety, Lock wheelchair breaks to ensure resident safety

Assist the resident with the use of bedpan, measure and record urine output with hand washing

Candidate’s recorded measurement is within 25mls of the RN test observers reading, Scrub/Wash hands together for at least 20 seconds with soap, Do not re-contaminate hands at any time during the hand washing procedure (dont crumple paper towel, fold to turn of faucet)

Catheter care for a female resident with hand washing

Hold the catheter where it exits the urethra with one hand, Do not allow the tube to be tugged/pulled at any time during the procedure, Scrub/Wash hands together for at least 20 seconds with soap, Do not re-contaminate hands at any time during the hand washing procedure (dont crumple paper towel, fold to turn of faucet)

Denture care - clean upper or lower denture

Put on gloves

Donn a gown and gloves, empty a urinary drainage bag, measure and record urine output, and remove gown and gloves with hand washing

Candidate’s recorded measurement is within 25 mls of the RN test observers measurement, Scrub/Wash hands together for at least 20 seconds with soap, Do not re-contaminate hands at any time during the hand washing procedure (dont crumple paper towel, fold to turn of faucet)

Dress a resident with an affected (weak) side

When dressing the resident in a button-up shirt, always dress from the affected (weak) side first

Feed a dependent resident

Position the resident in an upright, sitting position at least 75-90 degrees BEFORE feeding, Record intake as a percentage of total solid food eaten on the previously signed form, Record estimated intake as the sum of total fluid consumed in mls on the previously signed form

Foot care - one foot

Dry thoroughly between toes

Make an occupied bed

none!

Modified bed bath - face and one arm, hand and underarm

Beginning with eyes, wash eyes WITHOUT SOAP using a clean portion of the washcloth for each stroke, washing the inner aspect to the outer aspect

Mouth care - brush residents teeth

Put on gloves BEFORE cleaning the residents mouth

Nail care - one hand

none

Passive ROM (Range of Motion) exercises for one hip and one knee

The candidate MUST ask at least once during the PROM exercises if there is/was any discomfort or pain

Passive ROM (Range of Motion) exercises for one shoulder

The candidate MUST ask at least once during the PROM exercises if there is/was any discomfort or pain

Perineal care for a female resident with hand washing

Use a clean portion of the washcloth, and clean the vaginal area from front to back, Wash from vagina to rectal area, Scrub/Wash hands together for at least 20 seconds with soap, Do not re-contaminate hands at any time during the hand washing procedure (dont crumple paper towel, fold to turn of faucet)

Position a dependent resident resident in bed on their side

Direct the RN test observer to stand on the side of the bed opposite the working side or raise the side rail opposite the working side of the bed to provide safety

Transfer resident from their bed to a wheelchair using a gait belt

Lock bed brakes to ensure residents safety, Lock wheelchair brakes to ensure resident’s safety

Vital signs - count and record residents radial pulse and respirations

Record the residents radial pulse rate reading on the previously signed recording form, Record the resident’s respiration reading on the previously signed recording form